Provider Demographics
NPI:1841474327
Name:BHUPESH HASMUKH DIHENIA MD PA
Entity type:Organization
Organization Name:BHUPESH HASMUKH DIHENIA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:BHUPESH
Authorized Official - Middle Name:
Authorized Official - Last Name:DIHENIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-722-3500
Mailing Address - Street 1:3815 23RD ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1809
Mailing Address - Country:US
Mailing Address - Phone:806-722-3500
Mailing Address - Fax:806-796-0689
Practice Address - Street 1:3823 23RD ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-1809
Practice Address - Country:US
Practice Address - Phone:806-771-7740
Practice Address - Fax:806-771-7742
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BHUPESH HASMUKH DIHENIA MD PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-12-20
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK31562471M1202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance ImagingGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0050KKOtherBCS
TX8J9820OtherBCS
TX111701104OtherFIRST CARE
TX1509341-02Medicaid
TX0682DCOtherBCBS
TX0681DCOtherBCBS
TXP00249371OtherRAILROAD MEDICARE
TXP00249371OtherRAILROAD MEDICARE